6NY-53050-00385

3 vaccinations 13 coded responses 32 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 804 / CO
Registered: 2021-04-21

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-21
Registered in v-safe
2021-04-21
Dose 1 — Moderna
2021-04-21
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Nothing yet, I got the vaccination around 3:40pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rhinorrhoea — Feeling: Fair · Site: Pain

Free text: Runny nose .. I had it before the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: Started at moderate to mild symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes, Pain in jaw — Feeling: Fair

Free text: Woke up with a cold sore and jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Good

Free text: Just cold sore is a pain and I was advise to not take the mextherotezate week after injection. Ill be holding off on Enbrel as well. I also take presidone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Fair · Joint pains

Free text: Cold sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Fair · Fever · Chills

Free text: Have gotten chills when sleeping last few days. I forgot to mention it previously.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The symptoms came on all of a sudden. I didnt take my dog for a walk or do my cardio exercise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 14, dose 1
MedDRA: Pain — Feeling: Fair

Free text: Achiness all around last Wednesday through the weekend

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-19
Dose 2 — Moderna
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-23
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Abdominal pain

Free text: and little upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-02
Survey response — day 14, dose 2
MedDRA: Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe body ache and pain, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-22
Dose 3 — Moderna
2022-05-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-21
Survey response — 6 months, dose 3
MedDRA: Cough, Sneezing — Feeling: Fair

Free text: Sneezing , coughing

MedDRA releases: 2024-11 · check-in free text available
2023-04-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-05-19	Moderna
3	2022-04-22	Moderna	No

Free text

Release 7 — day 0, dose 1

2021-04-21

Systemic reaction (other): Nothing yet, I got the vaccination around 3:40pm

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): Runny nose .. I had it before the injection

2021-04-23

Systemic reaction (other): Started at moderate to mild symptoms

2021-04-24

Systemic reaction (other): Woke up with a cold sore and jaw pain

2021-04-25

Systemic reaction (other): Just cold sore is a pain and I was advise to not take the mextherotezate week after injection. Ill be holding off on Enbrel as well. I also take presidone.

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Cold sore

2021-04-27

Systemic reaction (other): Have gotten chills when sleeping last few days. I forgot to mention it previously.

Release 8 — day 7, dose 1

2021-04-28

Systemic reaction (other): The symptoms came on all of a sudden. I didnt take my dog for a walk or do my cardio exercise

Release 8 — day 14, dose 1

2021-05-05

Symptoms: Achiness all around last Wednesday through the weekend

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): No

2021-05-25

Systemic reaction (other): and little upset stomach

Release 8 — day 14, dose 2

2021-06-02

Symptoms: Severe body ache and pain, fatigue

Release 12 — 6 months, dose 3

2022-10-21

Symptoms: Sneezing , coughing

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release